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        <h3>表4  2016年健康教育机构公共卫生服务收支情况</h3>
        <table border="1" cellspacing="0" cellpadding="0">
            <tr>
                <th rowspan="2">服务项目</th>
                <th colspan="3">服务收费情况</th>
                <th colspan="3">服务支出情况</th>
            </tr>

            <tr>

                <td>年度收费总额（元）</td>
                <td>服务量</td>
                <td>次均收费水平（元/人次）</td>
                <td>卫生材料支出（元）</td>
                <td>药品支出（元）</td>
                <td>其他支出（元）</td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=eighthC[0] value="1、健康教育" type="hidden">1、健康教育</td>
                <td><input name="eighthC[1]" type="number" step="0.01" style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[2]" type="number" step="0.01"   style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[3]" type="number" step="0.01"  style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[4]" type="number" step="0.01"  style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[5]" type="number" step="0.01"  style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthCl[0]" type="number" step="0.01"  style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
            </tr>

            <tr>

                <td><input readonly unselectable="on" name=eighthC[6] value="其中：儿童健康教育" type="hidden">&nbsp&nbsp&nbsp其中：儿童健康教育</td>
                <td><input name="eighthC[7]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[8]" type="number" step="0.01"></td>
                <td><input name="eighthC[9]" type="number" step="0.01"></td>
                <td><input name="eighthC[10]" type="number" step="0.01"></td>
                <td><input name="eighthC[11]" type="number" step="0.01"></td>
                <td><input name="eighthCl[1]" type="number" step="0.01" ></input></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=eighthC[12] value="孕产妇健康教育" type="hidden">&nbsp&nbsp&nbsp孕产妇健康教育</td>
                <td><input name="eighthC[13]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[14]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[15]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[16]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[17]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[2]" type="number" step="0.01" ></input></td>
            </tr>


            <tr>
                <td><input readonly unselectable="on" name=eighthC[18] value="传染病防治健康教育" type="hidden">&nbsp&nbsp&nbsp传染病防治健康教育</td>
                <td><input name="eighthC[19]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[20]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[21]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[22]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[23]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[3]" type="number" step="0.01" ></input></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=eighthC[24] value="慢病防治健康教育" type="hidden">&nbsp&nbsp&nbsp慢病防治健康教育</td>
                <td><input name="eighthC[25]"  type="number" step="0.01" style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[26]"  type="number" step="0.01" ></input></td>
                <td><input name="eighthC[27]" type="number" step="0.01" ></input></td>
                <td><input name="eighthC[28]"  type="number" step="0.01"></input></td>
                <td><input name="eighthC[29]" type="number" step="0.01" ></input></td>
                <td><input name="eighthCl[4]" type="number" step="0.01" ></input></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=eighthC[30] value="其他健康教育" type="hidden">&nbsp&nbsp&nbsp其他健康教育</td>
                <td><input name="eighthC[31]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[32]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[33]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[34]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[35]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[5]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td>2、<input name=eighthC[36] ></td>
                <td><input name="eighthC[37]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[38]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[39]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[40]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[41]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[6]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td>3、<input name=eighthC[42] ></td>
                <td><input name="eighthC[43]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[44]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[45]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[46]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[47]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[7]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td>4、<input name=eighthC[48] ></td>
                <td><input name="eighthC[49]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[50]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[51]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[52]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[53]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[8]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td><input name=eighthC[54]></td>
                <td><input name="eighthC[55]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[56]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[57]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[58]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[59]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[9]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td><input name=eighthC[60] ></td>
                <td><input name="eighthC[61]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[62]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[63]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[64]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[65]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[10]" type="number" step="0.01" ></input></td>
            </tr>
            <tr>
                <td><input name=eighthC[66] ></td>
                <td><input name="eighthC[67]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="eighthC[68]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[69]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[70]" type="number" step="0.01"></input></td>
                <td><input name="eighthC[71]" type="number" step="0.01"></input></td>
                <td><input name="eighthCl[11]" type="number" step="0.01" ></input></td>
            </tr>


        </table>
        <p align=left>
            注：</br>
            1、某一项公共卫生服务的收费收入指的是本科室2016 年度开展该项服务的收费性收入，不包括治疗性收入和财政补助收入。填写过程中请注意收费收入总额与服务量和次均费用之间的勾稽关系，即收费收入总额等于服务量乘以次均费用。</br>
            2、某一项公共卫生服务的支出情况需要填写开展该项公共卫生服务所消耗的卫生材料、药品和其他支出。</br>
            3、卫生材料支出、药品支出仅指开展某项公共卫生服务所消耗的卫生材料的费用。如果针对某项服务，没有相应的卫生材料费、药品费的支出，则填0。</br>
            4、其他支出主要指开展该项服务时直接发生的印刷费、宣传费、邮寄费、公务用车运行维护费和其他交通费用等支出。</br>
            5、对于各项公共卫生服务中的一级分类（如，1、健康教育；），其填写的数据应该能与其对应的二级分类（1、儿童健康教育；2、孕产妇健康教育；3、传染病防治健康教育；4、慢病防治健康教育；5、其他健康教育）的数据的合计相同。</br>
            6、如本科室无某一服务项目，请在对应的单元格中填0。</br>
            7、如提供的是免费服务，则收费总额和收费水平栏填写“0”。</br>
            8、表中没有列出的公共卫生服务项目，需在最后的空行中补充填写。</br>
        </p>
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